Table 1 The 4Rs of Ethically Sound Research

Respect

Valuing cultures' and communities' diverse knowledges regarding health matters and developing knowledge that contributes to communities' and cultures' health and wellbeing

Relevance

Ensuring that research (or practice) is relevant to the culture and community

Reciprocity

Incorporating a two-way process of knowledge exchange and learning, where all parties benefit from these opportunities and the development of relationships

Responsibility

Fostering empowerment through allowing for active participation and rigorous engagement by all parties